In an Oct. 19 interview with CNBC’s Shepard Smith, Gottlieb echoed previous concerns that the coming seasons would present unique and difficult challenges to an already “fatigued” public. “It’s going to be a difficult fall and winter,” he warned. “We’re seeing hospitalizations go up in 42 states right now, cases are going up in 45 states, and there really is no backstop.” Gottlieb explained that “the summer was a backstop of sorts to the spring surge and we have no therapeutic backstop and this season—the fall and winter season—is when this coronavirus is going to want to spread.” He also said that while he was optimistic that a safe and effective vaccine could be developed, it’s also likely that it won’t become widely available until early next year. “We can look to happier days, but these are going to be some tough months ahead,” he said. But even before we enter what may be one of the worst weeks of the pandemic, states are already posting record-high numbers of new cases that top their previous summer peaks, according to the Brown School of Public Health’s COVID Risk Levels color-coded map. Right now, 20 states are at the “tipping point” (i.e. colored red) on Brown’s map. “Once a community reaches the red risk level, stay-at-home orders become necessary again,” the experts advise. Read on to see if your state is home to one of the worst COVID surges as of Oct. 20, and for more on new public health guidelines, check out The CDC Now Says You Should Wear Your Mask in These 7 Places. 25.3 daily new COVID cases per 100,000 people And for another state that’s in trouble, This State’s Governor Just Urged Residents “Not to Travel” Due to COVID. 25.9 daily new COVID cases per 100,000 people 26.1 daily new COVID cases per 100,000 people 26.4 daily new COVID cases per 100,000 people 26.8 daily new COVID cases per 100,000 people And if you want more pandemic updates every day, sign up for our newsletter. 27.2 daily new COVID cases per 100,000 people 28.1 daily new COVID cases per 100,000 people 28.7 daily new COVID cases per 100,000 people And for a tell-tale sign you could have the virus, check out If You Can’t Smell These 2 Things, You May Have COVID. 29.4 daily new COVID cases per 100,000 people 29.7 daily new COVID cases per 100,000 peopleae0fcc31ae342fd3a1346ebb1f342fcb 30.1 daily new COVID cases per 100,000 people 33.8 daily new COVID cases per 100,000 people 34.9 daily new COVID cases per 100,000 people 36.1 daily new COVID cases per 100,000 people And for more symptoms to be aware of, know that If Your Food Tastes Like These 2 Things, You May Have COVID. 41.5 daily new COVID cases per 100,000 people 42.1 daily new COVID cases per 100,000 people 43.5 daily new COVID cases per 100,000 people 55.1 daily new COVID cases per 100,000 people 76.0 daily new COVID cases per 100,000 people 88.4 daily new COVID cases per 100,000 people And if you think you might have had a silent case, check out If You Can’t Do This, You May Have Had COVID, New Study Finds.